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Iziguli Ezijabule

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Izikhungo Zokunakekela Ezempilo

Isikhungo Sokudluliswa Okuphezulu kakhulu
Ngokuhlinzwa Okuyinkimbinkimbi

Ukuhlinzwa Kwe-Carotid Okuthuthukisiwe

I-carotid stenting idlala indima ebalulekile ekwehliseni ingozi yokushaywa unhlangothi ezigulini ezine-carotid artery stenosis. Lokhu kwelashwa okungangeneleli kancane kuma njengendlela esebenzayo eceleni kwe-carotid endarterectomy (CEA) yeziguli ezithile. Ukwelashwa kusebenza kahle kakhulu kulabo abane-asymptomatic yezinga eliphezulu (ngaphezu kwama-70%) noma i-carotid artery stenosis eyizimpawu.

I-Stenting ifakazela ukuthi kunenzuzo kakhulu kune-endarterectomy ezigulini ezinesifo senhliziyo esibi kakhulu, ukwehluleka kwenhliziyo, isifo samaphaphu esinzima, noma izici ezithile ze-anatomic ezifana nokuvala i-carotid contralateral. Ikusasa libukeka lithembisa njengentuthuko yezobuchwepheshe, okuhlanganisa amathuluzi athuthukisiwe okuvikela i-embolic nama-stents anezendlalelo ezimbili, akhomba emiphumeleni engcono yesiguli.

Kungani Izibhedlela Zeqembu Le-CARE Kuyisinqumo Sakho Esiphezulu Sokuhlinzwa Kwe-Carotid Stenting e-Hyderabad

CARE Izibhedlela inelinye lamaqembu amakhulu e-India emithambo yegazi anesipiliyoni seminyaka engu-20+. Iqembu linabayisishiyagalombili odokotela abahlinza imithambo yegazi kanye nama-radiologist amahlanu angenelelayo asebenza ndawonye ngaphansi kophahla olulodwa. Laba ngcweti bathole ulwazi oluyingqayizivele ngokuqeqeshwa kwabo e-India, Japan, UK nase-USA. Iqembu le-vascular lithola ukwesekwa okuthembekile kusuka ku-multi-speciality, i-anesthesia, kanye namathimba okunakekela okubucayi aqinisekisa imiphumela emihle kakhulu yesiguli ngayo yonke inqubo.

Odokotela Abahlinza Karotid Abangcono Kakhulu eNdiya

  • N. Madhavilatha
  • PC Gupta
  • URahul Agarwal
  • Vamsi Krishna Yerramsetty
  • Venugopal Kulkarni
  • Tarun Gandhi
  • V. Apoorva
  • Radhika Malireddy
  • Surya Kiran Indukiri
  • Suyash Agrawal
  • Gnaneswar Atturu

Amasu Okuhlinza Okusezingeni eliphezulu esibhedlela i-CARE

Isibhedlela i-CARE sihola phambili ekuthuthukisweni kobuchwepheshe be-carotid stenting. Isibhedlela sihlole ukuthi kungenzeka yini ukuqina kwe-carotid esizwa ngerobhothi ngokuhlolwa komtholampilo kwe-'CARE'. Izinqubo eziyisikhombisa zerobhothi zenziwa kusetshenziswa inkundla yerobhothi ethuthukisiwe ethuthukayo ukwelashwa kwenhliziyo nemithambo yegazi ngokuthuthukisa ukunemba kodokotela kanye nokunciphisa kakhulu ukuchayeka kwe-X-ray kwabasebenzi bezokwelapha. Izinqubo zithole izinga eliphezulu lempumelelo yomtholampilo.

Izimo ze-Carotid Stenting

I-CARE Hospital's carotid stenting yelapha isifo se-carotid artery-isimo lapho ulwelwesi lwemithambo ye-carotid yangaphakathi luncipha ukusuka. cholesterol noma i-triglyceride deposits. Le nqubo yokuncipha (i-atherosclerosis) ikhawulela ukugeleza kwegazi ebuchosheni futhi ingabangela imivimbo. Inqubo isiza iziguli ezine-carotid stenosis ebaluleke kakhulu, ikakhulukazi lezo ezingakwazi ukwenza i-endarterectomy yendabuko ngenxa yezinkinga zezokwelapha ezifana nesifo senhliziyo esinzima, samaphaphu, noma sezinso.

Izinhlobo ze-Carotid Stenting

Isibhedlela se-CARE sihlinzeka ngezinhlobo ezahlukene ze-stent ngokusekelwe ezidingweni zesiguli:

  • Ama-stents azikhulisayo - Lawa ma-stents ayanda ngokwawo lapho ekhululwa ezinhlelweni zokulethwa, ezenziwe nge-cobalt alloy noma i-nitinol
  • Ama-stents amaseli avaliwe - Lawa ahlinzeka ngokufakwa okuthembekile kwe-plaque enezindawo zamaseli zamahhala ezincane
  • Open-cell stents - Anikeza ukuguquguquka okukhulu kwama-bifurcations ayinkimbinkimbi
  • I-Hybrid stents - Lawa ahlanganisa amaseli avulekile ekugcineni namaseli avaliwe phakathi kwakho kokubili ukuguquguquka nohlaka.

Ithimba lezokwelapha likhetha uhlobo ngalunye lwe-stent ngokusekelwe esimweni esithile sesiguli, ukwakheka kwama-plaque nokucatshangelwa kwe-anatomical.

Ukulungiselela Ukuhlinzwa Kwangaphambi Kokuhlinzwa

Iziguli kudingeka zilungise imithi yazo, ikakhulukazi uma zinemithi enciphisa igazi, ngaphambi kwenqubo. Udokotela wakho uyala ukuhlolwa okuningana okubalulekile okuhlanganisa i-ECG, ukuhlolwa kwegazi, ne-carotid imaging. Ithimba lezokwelapha linikeza isiqondiso esithile mayelana:

  • Isikhathi sokuyeka ukudla nokuphuza
  • Imiphi imithi okufanele uqhubeke noma ume kancane
  • Yiziphi izinto ozidingayo esibhedlela

Inqubo Yokuhlinzwa Ye-Carotid Stenting

Ukuhlinzwa kuthatha phakathi kwemizuzu engama-30 kuya emahoreni ama-2. Ithimba lezokwelapha liqala nge-anesthesia yendawo kanye ne-sedation. Bafaka i-catheter endaweni encane ye-groin. Khona-ke udokotela ohlinzayo:

  • Iqondisa i-catheter emthanjeni we-carotid
  • Isetha idivayisi yokuhlunga ukuthi ibambe i-plaque exekethile
  • Inweba ibhaluni ukusula indawo evinjiwe
  • Ibeka i-stent ukugcina ukuvuleka komthambo wegazi

Ukubuyisela ngemva kokuhlinzwa

Ukuhlala esibhedlela kuvame ukuthatha amahora angama-24-48. Ithimba lezokwelapha libheka ngokucophelela izimpawu ze-stroke noma ukopha ngemva kokuhlinzwa. Iziguli zidinga izinsuku ezimbalwa kuya evikini lokuzivivinya okulinganiselwe.

Izingozi Nezinkinga

Izinkinga ezinkulu zingabandakanya:

  • Stroke (ingozi enkulu kakhulu)
  • Ukopha endaweni yokufaka i-catheter
  • I-carotid artery dissection (izinyembezi)
  • Ama-clots egazi
  • I-Restenosis (ukuncipha futhi) kwenzeka 

Izinzuzo Zokuhlinzwa Kwe-Carotid Stenting

Le nqubo inikeza izinzuzo ezimbalwa ngaphezu kokuhlinzwa kwendabuko:

  • Izikebhe ezincane ezinokuhlasela okuncane
  • Ukuhlala kafushane esibhedlela
  • Ukuthola kabusha ngokushesha phakathi neviki
  • Ukungakhululeki okwehlisiwe
  • Izinketho ezingcono zeziguli ezisengozini enkulu

Usizo Lomshwalense Wokuhlinzwa Kwe-Carotid Stenting

I-Medicare inikeza ukuhlinzekwa kweziguli ezinezimpawu ze-stenosis ezibhekene nezingozi eziphezulu nge-carotid endarterectomy. Thola ulwazi olugcwele kumhlinzeki wakho womshwalense ngaphambi kokwelashwa.

Umbono Wesibili Wokuhlinzwa Kwe-Carotid Stenting

Umbono wesibili wezokwelapha ubonakala ubalulekile uma uthola:

  • Izimo eziyinkimbinkimbi zokuhlinzwa
  • Imibuzo mayelana nokukhetha ukwelashwa
  • Izimo zempilo ezengeziwe ezandisa izingozi zokuhlinzwa

Isiphetho

I-carotid stenting iyindlela enhle yokuthola ukwelashwa kweziguli ezine-carotid artery stenosis. Le nqubo engangeneleli kancane isebenza njengenye indlela esebenzayo yokususa i-endarterectomy yendabuko, ikakhulukazi uma unezimo zenhliziyo ezinzima, isifo samaphaphu noma izici ezithile ze-anatomical. Iphrofayela yakho yezempilo ngayinye inquma ukukhetha okungcono kakhulu kokwelashwa. 

Ithimba le-CARE Hospitals Group lodokotela abahlinza imithambo yegazi kanye nama-radiologist angenele liletha imiphumela emihle kakhulu. Ukuzibandakanya kwabo ezivivinyweni zomtholampilo ezithuthukisiwe, okuhlanganisa i-robotic carotid stenting, kubonisa ukuzinikela kwabo okuqinile ekunakekelweni kwesiguli. Izinga eliphezulu lempumelelo emtholampilo phakathi nalezi zivivinyo libonisa ubuchwepheshe balo.

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Izibhedlela Ezingcono Kakhulu Zokuhlinzwa Kwe-Carotid eNdiya

imibuzo ejwayelekile ukubuzwa

I-carotid stenting ivula imithambo ye-carotid evalekile enokuhlasela okuncane. Inqubo ibeka ishubhu elincane elinenetha (stent) engxenyeni ewumngcingo yomthambo wakho we-carotid othuthukisa ukugeleza kwegazi ebuchosheni bakho. Udokotela wakho ohlinzayo wenza ukusikeka okuncane ku-groin yakho ukuze afake i-catheter, ayiqondise entanyeni yakho, futhi amise i-stent ukuze ugcine umthambo uvulekile. I-stent isebenza njengohlaka olugcina umthambo wakho usesimweni esinempilo.

Amaqembu ezokwelapha ngokuvamile ancoma le nqubo:

  • Iziguli ezine-Symptomatic ezine-stenosis ye-70% noma ngaphezulu
  • Iziguli ezi-asymptomatic ezinokuvaleka okungama-60% noma ngaphezulu
  • Iziguli ezike zaba ne-carotid endarterectomy ene-stenosis ephindaphindiwe
  • Izimo lapho odokotela abahlinzayo bekuthola kunzima ukufinyelela ukuvinjelwa ngokuhlinzwa

Amakhandidethi ahamba phambili afaka iziguli ezine:

  • Isifo senhliziyo esibi kakhulu, i-angina engazinzile, noma ukuhluleka kwenhliziyo
  • Imisebe yentamo yangaphambilini noma ukuhlinzwa okwenza ukuhlolwa okuvulekile kube nzima
  • Ukuvinjelwa kwe-carotid ye-contralateral
  • Isifo samaphaphu esibi
  • Ukulimala kwezintambo zezwi eziphambene

I-carotid stenting ifakazele ukuthi iphephile futhi isebenza ngempumelelo. Kokubili i-stenting kanye ne-endarterectomy kunciphisa ingozi yokushaywa unhlangothi kakhulu eminyakeni eyishumi ngemva kokwelashwa.

Inqubo ngokuvamile ithatha imizuzu engu-30 ukuqeda. Ezinye izimo zingadinga amahora afinyelela kwamabili ngokuya ngobunkimbinkimbi bemikhumbi kanye ne-anatomy. Ukuhlinzwa akuvamile ukuthatha isikhathi eside ngaphandle uma kuvela izinselele ezingalindelekile.

Izinkinga ezijwayelekile zihlanganisa:

  • Ukopha lapho kungena khona i-catheter
  • Ukulimala komthambo
  • Ama-clots egazi
  • Ingozi yokushaywa unhlangothi (akuvamile kakhulu)

I-carotid stenting ayihli ngaphansi kokuhlinzwa okukhulu. Odokotela bakuhlukanisa njengokungahlinzeki, inqubo ehlasela kancane. Inqubo idinga ukusika okuncane, futhi iziguli zivame ukuphuma esibhedlela phakathi namahora angu-24-48. Ukululama kuthatha cishe isonto, okungasondeli nakancane nesikhathi esidingekayo sokuhlinzwa kwe-carotid yendabuko.

Iziguli zihlala esibhedlela amahora angama-24-48 ngesikhathi senqubo yokuqapha. Inqubo yokutakula iyaqhubeka ekhaya futhi ithatha cishe amasonto angu-1-2. Imisebenzi evamile ingaphinda iqale ngemva kosuku noma ezimbili, kodwa iziguli kufanele zigweme imisebenzi ekhandlayo izinsuku ezingu-5-7 kuze kube yilapho indawo yokusika ilulama ngokugcwele.

Ingozi yokushaywa unhlangothi ngemva kwe-carotid stenting ihlala iphansi kakhulu. Ama-stents ayaqhubeka nokukhula ngemva kokubekwa futhi akhiqize ukukhula kwezicubu okudala ibhalansi, okusiza ukugcina ukugeleza kwegazi okufanele.

Odokotela benza i-carotid stenting ngaphansi kwe-anesthesia yendawo nge-sedation encane. Le ndlela ibasiza ukuthi baqaphe izimpendulo zemizwa kuyo yonke inqubo. 

Lezi ziqondiso zizosiza ukuqinisekisa ukuphulukiswa okufanele:

  • Azikho izinto zokuphakamisa ngaphezu kwamaphawundi angama-20 isonto elilodwa
  • Gwema ukugeza, amachibi okubhukuda noma ukucwilisa indawo yokubhoboza izinsuku eziyisikhombisa
  • Thatha izitebhisi kancane
  • Yakha amazinga omsebenzi ajwayelekile ekupheleni kwesonto.

Ama-carotid stents ahlala unomphela emthanjeni wakho. Ukunciphisa kabusha kwenzeka ngenani elincane lamacala, ngokuvamile phakathi nezinyanga ezingu-6-9 ngemva kwenqubo.
 

Ama-Mini-stroke noma ama-TIA ngokuvamile asebenza njengophawu lokuqala oluyisixwayiso. Iziguli zingase zizwe ukukhathala, imithambo yentamo eqhumayo, ukuba ndikindiki, ubuhlungu besifuba, isiyezi, ukulingana okungalungile, izindlebe ezikhalayo, kanye umbono ongenalutho.

Izinkinga zokubona, ukudideka, izinkinga zenkumbulo, ubuthakathaka ohlangothini olulodwa lomzimba wakho, nobunzima bokucabanga nokukhuluma kuyizimpawu ezivamile zokuxwayisa. Odokotela bangathola umsindo ongajwayelekile obizwa ngokuthi "i-bruit" lapho belalele imithambo yakho ye-carotid.

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